Provider Demographics
NPI:1962520163
Name:GALLOP, SHEILA MARIE (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARIE
Last Name:GALLOP
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 BRADLEY RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04461-3610
Mailing Address - Country:US
Mailing Address - Phone:207-827-1221
Mailing Address - Fax:
Practice Address - Street 1:10 KAY LN APT D
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-1342
Practice Address - Country:US
Practice Address - Phone:203-575-0027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2607225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist